Diligent Account Resolution Specialist successful at operating in demanding, high-volume environments. Proficient in research, claims issues and setting up remittance plans. History of consistently meeting or exceeding all performance and service objectives. Knowledgeable about monitoring accounts, conducting investigations and documenting actions. Hardworking and diligent professional well-versed in effective account resolution techniques. Focused on offering first-rate support to every client while working to obtain necessary payments. Experienced in building rapport with each client in order to effectively close alerts. Advanced skills in Multiple computer systems and easy to learn new systems. Type 55 or more WPM. Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Accomplishments
Supervised team of 30 staff members.
Collaborated with team of 20 in the development of Hospital system take over .
Achieved 100% by introducing Mod Med for EMR tasks.
Skills
Documentation abilities
Claims Processing
Information gathering
Integrity checks
Financial Management
Finance
History research
New hire training
Call center experience
Issue investigation
Bookkeeping
Account Reconciliation
Till counting
Goals and performance
Financial statements expertise
Collections
Background in Microsoft Office , Word, Excel, Including working with multiple windows operating systems , Windows 10 and Vista, Athena (EMR), E Clinical Works, World Pay, Mod Medical, NextGen, People Soft
Work History
Payment Operations Specialist, 08/2020 - Current Farmers – Sylvania, OH,
Reconciled accounts receivable ledger to verify payments and resolve variances.
Responded to inbound inquiries regarding accounts and payments.
Tracked business revenue and expenditures and reconciled accounts to maintain high accuracy.
Tracked invoices, receipts and deposit slips to generate monthly fiscal statements.
Used accounting software to reconcile accounts, track income and generate invoices.
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Kept vendor files accurate and up-to-date to expedite payment processing.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Encoded and canceled checks using bank machines.
Account Resolution Specialist, 07/2018 - 06/2020 Triumph Bancorp, Inc. – East Moline, IL,
Superb customer service experience with a professional speaking voice.
Ability to listen and resolve conflicts to a customer's satisfaction.
Experience in current and delinquency collections, detailed account reconciliations and knowledge of insurance verification.
Excellent written, verbal and non-verbal communication skills.
Extensive knowledge in a call center environment setting, capable of resolving escalated customer issues via phone /person with professionalism.
Self- starter with attention to detail, positive attitude and professional manner.
Advance in Microsoft Office Programs, Posts customer payments by recording cash, checks, and credit card transactions.
Updates receivables by totaling unpaid invoices.
Posts revenues by verifying and entering transactions form lock box and local deposits.
Verifies validity of account discrepancies by obtaining and investigating information from sales, trade promotions, customer service departments, and from customers;.
Maintains records by microfilming invoices, debits, and credits.
Resolves invalid or unauthorized deductions by following pending deductions procedures.
Resolves valid or authorized deductions by entering adjusting entries.
Summarizes receivables by maintaining invoice accounts; coordinating monthly transfer to accounts receivable account; verifying totals; preparing report.
Accomplishes accounting and organization mission by completing related results as needed.
Administrative Clerk/Front End Developer, 01/2016 - 05/2018 The Galt House Hotel – Louisville, KY,
Greets vendors, customers, job applicants, and other visitors.
Communicate with patients in person/and via person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays.
Work closely with billing staff for accurate collecting.
Reconcile patient payments; prepare deposits and follow established cash handling procedures.
Successfully collected $9k over the counter collections, within 2 months of employment.
Facilitates patient check-in and check-out, completes patient intake, includes appointment.
Verified any changes or data updates to patient records and checked insurance information at each appointment.
Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
Followed document protocols to safeguard confidentiality of patient records.
Organized patient records and database to facilitate information storage and retrieval.
Front Office Manager, 01/2016 - 12/2016 Neurology Solutions – City, STATE,
Education scheduling, preparing new charts and addressed customer service inquiries in a timely and accurate fashion; transfer calls as appropriate.
Ensure HIPAA compliance.
Answered and investigated a vast of customer service calls for MediView, Seton Health Plans, Seton CHIP and Seton Star members and providers resolving all aspects of claims relating to authorization, eligibility, insurance benefits, and claim processing information when appropriate.
Communicated with the patient via phone and documented all interactions and transactions with caller; act as a liaison between Health plans and internal customer service department by exchanging and resolving inquiries.
Documented patients and members complaints, determined the appropriate course of action, worked with colleges or management to ensure complaints were resolved.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Communicated corporate objectives across divisions through regular correspondence and scheduled status updates.
Aggregated and analyzed data related to administrative costs to prepare budgets for corporate-level management.
Supervised and guided new employees and responded quickly to questions to improve understanding of job responsibilities.
Education
Diploma: , Expected in 05/2007 - Armuchee High School - Rome, GA GPA:
GPA: 3.8
Member of Who's Who Among American High School Students
Professional development completed in mathematics
Member of College Prep 4H
Dean's List ear 2004 - 2007
Awarded Honors Club and 6th in 2007 Class
Member of Drum Major , Drama club
NBS: Nursing, Expected in - Chattanooga State University - Chattanooga, TN, GPA:
Bachelor: Nursing, Expected in 2007 - Floyd Medical Center - Rome, GA, GPA:
GPA: 3.7, Dean's List 2007, Birthing/Delivery Center
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